A successful treatment with intravenous lipid emulsion therapy in a child with verapamil poisoning

Merve Havan; Tanıl Kendirli; Serhan Özcan; Melih Timuçin Doğan; Ahmet Onur Yiğit; Tayfun Uçar

doi:10.4103/2452-2473.329626

A successful treatment with intravenous lipid emulsion therapy in a child with verapamil poisoning

Turk J Emerg Med. 2021 Oct 29;21(4):217-220. doi: 10.4103/2452-2473.329626. eCollection 2021 Oct-Dec.

Authors

Merve Havan¹, Tanıl Kendirli¹, Serhan Özcan¹, Melih Timuçin Doğan², Ahmet Onur Yiğit¹, Tayfun Uçar²

Affiliations

¹ Department of Pediatric Intensive Care, School of Medicine, Ankara University, Ankara, Turkey.
² Department of Pediatric Cardiology, School of Medicine, Ankara University, Ankara, Turkey.

Abstract

In recent years, intravenous lipid emulsion therapy (ILE) was used for lipophilic drug intoxications, and successful results were obtained. In the literature, there is a small number of reported cases about verapamil intoxication and ILE therapy in the pediatric age group. We used ILE therapy in a 14-year-old girl with verapamil intoxication in the 2^nd h of the pediatric intensive care unit stay, before using traditional treatments such as glucagon and hyperinsulinemic euglycemia. She had resistant bradycardia and hypotension which was unresponsive to inotropic agents and a successful result was obtained after using ILE treatment. We believe our report may contribute to the early use of ILE therapy for toxicity with calcium channel blockers such as verapamil in pediatric patients.

Keywords: Children; intoxication; lipid emulsion therapy; verapamil.

Publication types

Case Reports